NPIMap

Organization Active NPI

Blessing Hospital

Doing business as Blessing Hospice

  • Community Based Hospice Care Agency
  • Quincy, IL
National Provider Identifier
1932242518
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BLESSING HOSPITAL
Doing business as
Blessing Hospice
Practice address
5011 Oak Street
Quincy, IL 62301
Phone
(217) 223-8400
Fax
(217) 223-9945
NPI assigned
Feb 14, 2007
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BLESSING HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Timothy A Moore
Title
VP, Finance, Cao
Phone
(217) 223-8400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X 0000141 IL

Addresses

Primary practice location

5011 Oak Street
Quincy, IL 62301

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other names 1

  • Blessing Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071129000624 IL Part A Provider - Hospice 3072422534 Practice locations: Quincy, IL
O20140506002220 IL Part B Supplier - Hospital Department(S) 3072422534 Receives reassigned benefits from 5 practitioners
Practice locations: Warsaw, IL; Quincy, IL; Pittsfield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932242518. Details of each certification follow.

Hospice certification: CCN 141501

Legal name
BLESSING HOSPITAL
Doing business as
BLESSING HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 4, 1984
Last certification
Apr 1, 2017
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 29, 1873 in IL
Enrollment address
5011 Oak St
Quincy, IL 62305-9131

Other NPIs with the same Medicare PAC ID 20

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 20

Care Compare: Hospice

Medicare Care Compare
Listed as
Blessing HospiceCCN 141501 · All quality measures
Ownership
Non-Profit
Certified
Jun 4, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Blessing Hosp Eeg35 organizations share this tax ID, including this one
Part of
Blessing Hosp Eeg

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

936 Broadway St
Quincy, IL 62301
Phone (217) 228-5521

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mohamed Ali Individual Corporate Director Oct 16, 2017
Amy Ruebush Individual Corporate DirectorBoard Member Mar 27, 2025
Joseph V Meyer Individual Corporate DirectorBoard Member Feb 1, 2026
Kristi Michelle Gillette Individual Contracted Managing EmployeeMD; Aug 1, 2021
Jennifer Renee Eling Individual Contracted Managing EmployeeAd; Nov 1, 2023
Patrick Gerveler Individual Corporate OfficerCfo Apr 1, 2001
Corporate DirectorBoard Member Apr 1, 2001
Abby Reich Individual Corporate DirectorBoard Member Jan 1, 2013
Prashanth Podaralla Individual Corporate DirectorBoard Member Feb 1, 2026
Blessing Corporate Services, Inc. Organization, Quincy, IL Corporation Operational/Managerial Control Jan 1, 2007
Mark Baumann Individual Corporate DirectorBoard Member Jan 25, 2024
Timothy Koontz Individual Corporate DirectorBoard Member May 8, 2006
Timothy Tranor Individual Corporate OfficerCoo / Interim Ceo Apr 16, 2025
Corporate DirectorBH Board Member / Coo / Interim Ceo Apr 16, 2025
Operational/Managerial ControlCoo / Interim Ceo Apr 16, 2025
William H Dixon Individual Corporate DirectorBoard Member Feb 1, 2025
James Rinella Individual Corporate DirectorBoard Member Jan 25, 2024
Julie Brink Individual Corporate Director Oct 16, 2017
Julie Duke Individual Corporate OfficerChief Revenue Cycle Officer Dec 1, 2022

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 25

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1932242518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 OAK STREET",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-223-8400",
            "fax_number": "217-223-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSING HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLESSING HOSPITAL",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, FINANCE, CAO",
        "authorized_official_telephone_number": "217-223-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "IL",
            "license": "0000141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blessing Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.